Tidwell, Rex Wallace

Tidwell, Rex Wallace is an sole proprietor health care provider with primary practice located at 1601 Watson Blvd. Houston Medical Center, Warner Robins GA 31093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tidwell, Rex Wallace can be contacted via phone (478) 542-7996.

Contact Information

Primary practice address
1601 Watson Blvd. Houston Medical Center Warner Robins GA 31093
Phone: (478) 542-7996
Fax: (478) 542-7943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 010300 Georgia

Profile Details

NPI number 1205902749
LBN Legal business name Tidwell, Rex Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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